Information Collection

Application for Procurement Quota for Controlled Substances

IC 12294 under ICR 201903-1117-002 · OMB 1117-0008.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1117-0008 can be found here:

Documents and Forms

Document Name Document Type
Form DEA Form 250 Application for Procurement Quota for Controlled Substances Form
DEA Form 250 Application for Procurement Quota for Controlled Substan 250_form 4-30-16.pdf www.deadiversion.usdoj.gov Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Application for Procurement Quota for Controlled Substances	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 21 CFR 1303.12(b) 21 CFR 1315.32

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	DEA Form 250	Application for Procurement Quota for Controlled Substance and for Ephedrine, Pseudoephedrine, and Phenylpropanolamine	250_form 4-30-16.pdf	www.deadiversion.usdoj.gov	Yes	No	Fillable Printable

Line of Business: Law Enforcement

Subfunction: Substance Control

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 344	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	3,066	106	2,960
Annual IC Time Burden (Hours)	1,533	53	1,480
Annual IC Cost Burden (Dollars)	136,253	18,341	117,912

Documents for IC

Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.